Drivers of Variation in 90-Day Episode Payments After Percutaneous Coronary Intervention.

ABSTRACT:

Background

Percutaneous coronary intervention (PCI) is a common and expensive procedure that has become a target for bundled payment initiatives. We described the magnitude and determinants of variation in 90-day PCI episode payments across a diverse array of patients and hospitals.

Methods and results

We linked clinical registry data from PCIs performed at 33 Michigan hospitals to 90-day episodes of care constructed using Medicare fee-for-service and commercial insurance claims from January 2012 to October 2016. Payments were price standardized and risk adjusted using clinical and administrative variables in an observed-over-expected framework. Hospitals were stratified into quartiles based on average episode payments. Payment components between the highest and the lowest q

SUBMITTER: Sukul D 

PROVIDER: S-EPMC6857730 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature